Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PSY29997 | |
N | 103TC0700X | Clinical Psychologist | PSY29997 | |
N | 103G00000X | Clinical Psychologist | PSY29997 | CA |
N | 103TC0700X | Clinical Psychologist | PSY29997 | CA |
N | 102L00000X | Psychologist | PSY29997 | CA |
N | 103T00000X | Psychologist | PSY29997 | CA |
Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PSY29997 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY29997 | CA |
N | 103G00000X | Clinical Psychologist | PSY29997 | CA |
N | 103TC0700X | Clinical Psychologist | PSY29997 | CA |
N | 103TC1900X | Counseling Psychologist | PSY29997 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY29997 | CA |
N | 103TF0000X | Family Psychologist | PSY29997 | CA |
N | 103TH0100X | Health Service | PSY29997 | CA |
N | 103TP2701X | Group Psychotherapist | PSY29997 | CA |
N | 103TR0400X | Rehabilitation Psychologist | PSY29997 | CA |
NPI | 1356830657 |
---|---|
Provider Name | Dr. Samantha Erin Schlossmann |
First Address | Malibu, CA 90265-4463 |
Second Address | Malibu, CA 90265 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2018 |
Last Update Date | 04/01/2021 |